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General NPI Number Information
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NPI Number | 1619398963
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Entity Type | Individual
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Provider Name | ROSEMARY ROUHANA LMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 126 MAIN ST
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City | NEW PALTZ
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State | NY
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Zip | 12561-1525
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Country | US
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Telephone | 845-532-6064
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Fax |
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Provider Business Mailing Address
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Address Line | 521 HICKORY BUSH RD
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City | KINGSTON
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State | NY
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Zip | 12401-8460
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Country | US
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Telephone | 516-359-8298
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P91597
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | P91597
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License Number State | NY
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